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KATHLEEN M PORSCH CNM
NPI 1659349124
Midwife in Manahawkin, NJ

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
1100 ROUTE 72 W, SUITE 305, MANAHAWKIN, NJ 08050(609) 978-9841(609) 978-9843 Get Directions Write a Review

NPPES record last updated: November 23, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kathleen M Porsch Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN M PORSCH CNM (NPI 1659349124) is an individual midwife in Manahawkin, New Jersey, licensed in New Jersey (25ME00032601) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1659349124
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameKATHLEEN M PORSCHCredential: CNM
Location Address1100 ROUTE 72 W, SUITE 305Manahawkin, NJ 08050-2468
Mailing Address1100 Route 72 W, Suite 305Manahawkin, NJ 08050-2468 · (609) 978-9841 · Fax (609) 978-9843
Phone(609) 978-9841
Fax(609) 978-9843
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 10, 2006
Last NPPES UpdateNovember 23, 2010
✔ NPI 1659349124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License✔ Licensed in NJ · 25ME00032601
Definition
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
1100 ROUTE 72 W, Manahawkin, NJ 08050
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN128662YBRYNJ
Medicaid8923205NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen M Porsch Cnm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820163702
PECOS Enrollment IDI20080813000210
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kathleen Porsch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ocean Health Initiatives,inc
7.9 mi
Federally Qualified Health Center (FQHC)
798 COUNTY ROAD 539
Little Egg Harbor, NJ 08087
  • Reassigned Medicare billing, New Jersey enrollment
  • 130 clinicians in this Medicare group
NPI 1235598616 (732) 363-6655
Hackensack Meridian Health Medical Group - Specialty Care PC
44 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
55 services55 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHERN OCEAN SPECIALTY PHYSICIANS, P.C.
Internal Medicine (Hematology & Oncology)
1100 ROUTE 72 W, SUITE 305
MANAHAWKIN, NJ 08050
Ocean County (609) 978-3359
MRS. DANIELLE BARRIOS PA-C
Physician Assistant
1100 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ocean County (609) 978-9639
PAVILION WOMENS HEALTH ASSOCIATES PA
Obstetrics & Gynecology
1100 ROUTE 72 W, SUITE 305
MANAHAWKIN, NJ 08050
Ocean County (609) 978-9841
QUN LIN I MD
Internal Medicine (Geriatric Medicine)
1100 ROUTE 72 W, SUITE 305
MANAHAWKIN, NJ 08050
Ocean County (609) 978-3359
BRIAN T GOTTESMAN M.D.
Obstetrics & Gynecology
1100 ROUTE 72 W, SUITE 305
MANAHAWKIN, NJ 08050
Ocean County (609) 978-9841
SOUTHERN OCEAN ORAL SURGERY & IMPLANT CENTER, INC.
Dentist (Oral and Maxillofacial Surgery)
1100 ROUTE 72 W, SUITE 202
MANAHAWKIN, NJ 08050
Ocean County (609) 978-1300
TODD LIU M.D.
Obstetrics & Gynecology
1100 ROUTE 72 W, SUITE 305
MANAHAWKIN, NJ 08050
Ocean County (609) 978-9841
SOUTHERN OCEAN PEDIATRIC ASSOCIATES, P.C.
Pediatrics
1100 ROUTE 72 W, SUITE 304
MANAHAWKIN, NJ 08050
Ocean County (609) 978-9639

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Porsch's NPI number?

The NPI number for Kathleen Porsch is 1659349124. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Kathleen Porsch located?

Kathleen Porsch practices at 1100 Route 72 W Suite 305, Manahawkin, NJ 08050. The listed phone number is (609) 978-9841.

What is Kathleen Porsch's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Is Kathleen Porsch enrolled in Medicare?

Yes. Kathleen Porsch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kathleen Porsch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Porsch reassigns Medicare benefits to 2 organizations: Ocean Health Initiatives,inc (Little Egg Harbor, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Porsch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Porsch accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kathleen Porsch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kathleen Porsch affiliated with any hospitals?

According to CMS data, Kathleen Porsch is affiliated with Community Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Kathleen Porsch was last updated on November 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.